Nakimia Agnew, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C5573 Issued in MS

Practice address

2123 Crabapple Dr
Tupelo, MS 38801-5164

Phone

(662) 401-5706

NPI assigned

Oct 10, 2012

Last updated

Oct 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RH Arise Venture of Tupelo LLCGroup PAC ID 2567840309, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RH Arise Venture of Tupelo LLC

  • Psychiatry Physician
  • Tupelo, MS
  • NPI 1124776067
  Medicare reassignment Care Compare group NPD
• North Mississippi Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ashland, MS
  • NPI 1821092552
  Medicare reassignment NPD
• North Mississippi Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ripley, MS
  • NPI 1992190367
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1184976557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 CRABAPPLE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 CRABAPPLE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015164",
            "telephone_number": "662-401-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNEW",
        "first_name": "NAKIMIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Ehimudiamen Agbator, MD
• Ageless Men's Health, LLC (Ageless Men's Health)
• Ageless Women's Health Ms LLC
• Charli Agnew
• Courtney Renice Agnew
• Nikki Aguero
• Ali Ahmad, M.D.
• Samah Salih Abdalla Ahmed
• Henrietta Akunne, MD
• Reem Al-Abed Alqader

• Clinical Social Worker in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.